As of the July, 2022, release via CMS

TRUMAN MEDICAL CTR LAKEWOOD

CMS id: 260102
7900 LEES SUMMIT ROAD, KANSAS CITY MO 64139. County: JACKSON
System: TRUMAN MEDICAL CENTER INC.
CBSA: Kansas City, MO-KS

The 305-bed, acute-care hospital had $84,346,597 in net service to patients*, with a total profit margin of 36.94779% in fiscal year 2021, the latest year available.
It spent 11.79% of its operating expenses on uncompensated care and reported $0 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	97 118	97 118	97 119.5	97 118	104 119
Total beds Median	298 162	298 162	298 162	298 162	305 163.5
FTEs Median	998.32 788.06	1,004.35 793.42	1,046.39 806.03	1,051.76 787.61	1,097.17 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	122,346,978 150,932,746	138,714,676 158,950,878	173,262,650 168,696,998	173,929,923 163,454,693	289,953,765 186,589,412
Operating expenses Median	141,695,825 149,311,209	154,563,184 156,110,414	188,627,586 164,890,568	212,169,639 166,516,854	205,607,168 180,120,888
Net income from service 2 patients (NS2P) ? Median	-19,348,847 -964,173	-15,848,508 -643,601.5	-15,364,936 -116,254	-38,239,716 -5,025,862	84,346,597 -1,284,564
NS2P margin ? Median	-15.81% -0.62	-11.43% -0.29	-8.87% 0.18	-21.99% -5.07	29.09% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TRUMAN MEDICAL CTR LAKEWOOD compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	19,964,725 5,089,215	19,676,109 4,572,541	13,077,780 5,268,134	15,661,225 13,092,619	36,136,601 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	184,908 224,999	147,908 199,009	223,069 206,870.5	290,642 194,343	5,964,158 249,496
⊳ Line 7: Investments ? ⊳ Median	322,628 299,524	399,101 188,688.5	105,009 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	1,731	2,002	147
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	216,727	207,545	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	9,884,883 1,017,693	9,884,883 983,261.5	9,884,883 1,173,286	9,864,324 1,987,202	9,796,624 1,597,664
⊳ Sum Line 24	9,572,306	9,027,490	2,655,543	5,504,257	20,375,672
Total income ? Median	615,878 6,586,430	3,827,601 6,767,106	-2,287,156 8,419,950	-22,578,491 8,094,175	120,483,198 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	615,878 6,043,842	3,827,601 5,845,112	-2,287,156 7,606,259	-22,578,491 7,283,041	120,483,198 14,957,241
Net margin Median	0.43277% 4.62%	2.41656% 4.42%	-1.22741% 5.16%	-11.90904% 5.2%	36.94779% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for TRUMAN MEDICAL CTR LAKEWOOD compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	10,999,894 23,241,334	12,390,914 23,709,545	12,923,186 24,248,380	14,092,194 22,858,541	14,583,924 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	10,483,074 21,577,146	12,021,911 22,041,594	12,852,488 22,722,063	14,010,272 21,570,441	14,413,551 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	516,820 1,203,033	369,003 1,215,295	70,698 1,313,657	81,922 1,365,298	170,373 1,179,746
All outpatient revenue Median Click here to show/hide details	5,651,493 11,160,864	5,138,827 11,987,345	5,089,362 12,926,866	5,020,949 11,884,480	6,010,896 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	5,651,493 10,918,923	5,138,827 11,706,976	5,089,362 12,615,917	5,020,949 11,458,116	6,010,896 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	3,964,671 3,284,314	3,703,403 3,250,551	3,326,708 3,386,837	3,123,642 3,360,806	3,437,070 3,508,953
Disproportionate-share hospital (DSH) Median	322,121 594,888	346,622 595,761	301,777 577,894	295,952 542,168	298,182 549,667
Outlier Median	466,307 582,572	507,449 538,116	472,486 212,434	216,503 126,559	145,113 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	19,031,617 2,654,636	10,361,152 2,940,659	14,777,146 3,380,215	19,629,406 3,488,738	16,319,900 3,233,405
Uncompensated care (UCC) Median	23,237,287 5,147,790	24,700,011 5,337,617	27,107,156 5,711,082	31,663,477 5,923,418	24,235,069 5,508,107
UCC as a % of operating expenses Median	16.40% 3.24	15.98% 3.12	14.37% 3.21	14.92% 3.3	11.79% 2.86
Total shortfall/UCC Median	23,237,287 9,489,989	24,700,011 9,424,297	27,107,156 10,120,158	31,663,477 11,171,337	24,235,069 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	56,521,229 52,142,039	60,567,711 54,485,252	65,271,725 57,395,589	67,191,154 58,830,919	71,903,153 61,722,907
Salaries as a % of operating expenses Median	39.89 36.68	39.19 36.56	34.60 36.37	31.67 35.93	34.97 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	3,382,294 1,251,927	3,652,448 1,186,494	3,321,536 1,204,885	3,806,797 1,279,653	4,617,422 1,469,317
Contract adjusted salaries, direct-care Median	3,718,644 1,449,244	4,729,823 1,475,986	4,924,587 1,563,078	4,249,323 1,721,954	5,226,258 2,991,828
Contract hours, direct-care Median	132,767.64 22,725	145,175.12 23,018.5	138,156.97 24,503.48	127,915.37 25,026.5	163,418.00 33,786
Contract wages, direct-care Median	28.01 64.67	32.58 64.53	35.64 65.06	33.22 68.97	31.98 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.